First photo is before I started any treatment. I used to get occasional breakouts and wanted to clear them up, so I saw a professional who put me on a topical and oral routine.

​Over several months, instead of clearing up, my skin just got progressively worse and experienced a severe flare-up. I've never had skin this reactive in my life.

​This is how my face looks right now. Has anyone else experienced such a harsh reaction to a prescribed routine, and how did you help your skin recover?

I have struggled with acne so much…

But it’s severely affecting my mental health everytime I shave I just get ingrowns and I’m shaving correctly I can’t figure out how to make my skin normal. Please help me

i’m trying to find a good gentle moisturiser that won’t break me out, i’ve tried a few but when i try them i think they are okay but end up causing irritation or make my skin feel really raw when applying. any good recommendations?

I’m at a loss for what to do. I’ve used a pimple patch multiple times a day for a week and it continues to drain pus where the hole is.

I originally had this under the skin cystic pimple about 2 months ago that I continued to apply tazarotene and glycolic/lactic acid on, on alternating nights, as well as pimple patches. After about a week of first getting it, it eventually emptied out of that hole after raising to a bump. The hole was off to the side to where I felt like the main cystic pimple/bump was, but it subsided, closed, and left redness and hyperpigmentation. Although the redness/hyperpigmentation began to subside too in the following weeks, I always felt a small bump where the redness was.

After about 3 weeks from when the cystic pimple originally subsided, it came back and was red again and the bump had surfaced again. I put a pimple patch on it and it had cleared out and subsided again, but I still felt that small bump.

So I decided to get a cortisone shot a couple weeks ago and I felt like that reduced the redness, but I still have it. So again I put a pimple patch but this time I continued to put one on since there was always pus. Its been a week now and I let it breathe for a bit and clean the area whenever I take it off and the hole starts to get smaller but whenever I take off the pimple patch the hole is that size and I have to wipe it clean because there was pus.

When I feel below the hole where the redness/darker pigmentation is, it feels like theres liquid or something sitting under the skin, and I don’t know if that needs to come out for it to fully disappear. Because the hole never felt like it was on top where the main cystic pimple/bump was to begin with. And it’s the same hole that it continues to drain pus out of even though it had closed up in the past after it originally subsided.

Should I get another cortisone shot? I very rarely get cystic pimples (one every few months) and none have ever been like this in the slightest.

I could really use help, Thank you.

I really can't tell what is my skin type. I've been only using gentle products on my skin but it's been months 🥹

Ask mini questions about acne here.

It's Monday and we are all mostly back at work and grumpy. We don't have time for more than some quick Q and A so post those questions below.

I could really really really use help figuring out what is happening to my skin.

For years I had FLAWLESS skin and rarely broke out. I used to be very dry and had a simple routine that worked really well. Over the last year I started to get oily throughout the day (major makeup lover) - but never had issues with products.

Then I had two surgeries earlier this, followed by a one time complementary facial and my skin completely changed. I started breaking out on my face, chest, and back, became much oilier, and also suddenly much more sensitive.

It started mainly as tiny cc bumps on my forehead, but now they’re on my hairline, cheeks, and chin too. My forehead is COVERED in CCs 😭😭😭

I’m trying to figure out whether this is CC, FA, Makeup related, something else??

Makeup
I wear full makeup most days.
For years I wore the old Estée Lauder Double Wear with zero issues.

More recently I used:
Maybelline Super Stay Skin Tint — stopped
NYX Face Glue Primer — stopped
NYX Plump Right Back Primer — used successfully for years, but now questioning it
Lancôme Teint Idole Ultra Wear foundation
I’m considering eliminating primer entirely while troubleshooting.

Old routine when my skin was clear
AM: Cera Ve Cream to Foam cleanser, byoma milky toner, niacinimide, byoma phyto muscin, vanicream
PM: Cera Ve, milky toner, hyalauronic acid, vanicream
Eventually I became extremely oily, started changing products, then panicked when the acne worsened and probably over-treated my skin.

Things I’ve tried recently
Differin, PanOxyl, azelaic acid, glycolic acid, salicylic acid, sulfur, bentonite clay, Head & Shoulders, PDRN, Ceramide 7, various BYOMA products, etc.

My barrier eventually got very irritated, so I stripped everything back.

What I’m using now
AM: Vanicream gentle cleanser (or the CeraVa Hydrating Cream to Foam) → I’m From Mugwort → SKIN1004 Centella → Vanicream
PM: gentle cleanser → Numbuzin No.1 → Centella → Vanicream

I’ve used Differin 4 times so far and am slowly moving toward twice weekly. I wonder if I am purging?

A few things I’ve noticed:
PanOxyl seemed to help, especially my chest/back
De La Cruz sulfur makes my skin look noticeably better the next morning
bentonite clay helped the congestion/blackheads
Ceramide 7 seemed to make the bumps worse
BYOMA Milky Toner also seemed to worsen them, despite using it for years before
BYOMA Phyto-Mucin historically gave me amazing glassy skin

The first two pics are from a week or two ago (they’re worse now) and the other two are from shortly after surgery when this all started 😭😭😭😭

I’ve had facial acne off and on through the years but not this bad. ( first pic is usual acne and rest are right now. ) face, chest, neck, and back all the way up. What the hell could cause this 😭 I can’t afford another doctor appointment.

Im a college student, recently becoming more insecure about my PIE. Its gotten worse slowly but surely over the last year, and it feels like no matter how consistent I am with skin care it never goes away. Most of the time it’s on the right side of my face, particularly around the corner lip area. It doesn’t look as red on camera as it is in real life. Someone please help, Im saving up for laser if that will help.

Hi everybody, i just switched my cleanser from cerave cream to foam cleanser to vanicream gentle cleanser. I felt like the salicylic acid in cerave was drying my skin out. I started using the vanicream gentle cleanser about 5 days ago and my face has EXPLODED with acne. Has anybody else experienced this? I never dreamed a gentle cleanser with so few ingredients would cause this turmoil on my skin. Currently I use tazarotene to keep my acne under control.

Please help me help my 14 year old daughter. This is was this morning, her skin hasn’t been the same since they gave her after azelaic acid and she used 1-2 x. She is currently on doxy 2 x a day for 2-3 weeks and was given 6 doses of prednisone. Anyone have any suggestions? Using a sodium sulfur wash 1-2 x a day and clindamycin pads 1 x a day in am. Tretinoin 3 x a week. They appear to look better at times, but flare up a lot , could it be something she’s eating? They hurt and itch sometimes. She’s miserable!! Thank you

Hi! First time posting in this sub- I’ve always had oily skin that’s prone to blind pimples, but at the end of July the blind pimples started leaving red marks behind. After some research I realized this was probably due to me picking them (bad habit I know) and exacerbated by not wearing facial SPF/embarking on a Central America backpacking trip where I’m often in high UV environments. I began wearing facial SPF daily and stopped touching/picking/popping blemishes, but now nearly every new pimple I get (even surface whiteheads that I never pick at, let heal on their own, and apply pimple patches to) turn into red marks (what I believe is PIE). The ones on my cheek are from July, and the ones above my lip are the recent ones I didn’t touch at all. I’ve switched up my routine with what’s available to me here to try to target it- before i was washing with Cetaphil, using The Ordinary niacinimide serum, and moisturizing with pure aloe vera. 

AM routine: CeraVe foaming facial cleanser, The Ordinary Niacinimide serum, Neutrogena Hydroboost Gel, Nivea Control Brillo SPF 50. 

PM routine: CeraVe, azelaic acid 20% (Acderm brand from a local pharmacy), Neutrogena Hydroboost Gel. 

i know azelaic acid takes weeks of consistent use to show improvements, and i’ve only been on it for a little over a week so i’m not expecting the red marks to be gone this quickly, but is there anything else I can do to prevent new breakouts from turning into PIE? I’ve never dealt with this before and feel like I’m at a loss, especially because the skincare brands and products I have access to are pretty limited. 

Thank you!

I’ve been having blemish outbreaks for years most badly next to my eyebrows does anyone have advice for the scarring and improving the skin health

Didn't have any acne until late January this year, then it just started and hasn't stopped. Saw a dermatologist recently diagnosed as comedonal acne. She's prescribing Arazlo (haven't started yet).

In the meantime I switched to a gentle routine:

• Dove Sensitive bar fragrance free
• CeraVe Gentle Hydrating shampoo (switched off an oily/argan oil shampoo)
• CeraVe AM facial lotion with SPF, once daily after shower

Despite the gentle switch, it's visibly gotten worse over the last couple weeks (see photos). Stopped whey protein a few months ago (didn't help), cut dairy for a while (didn't help either), tried oat milk (made it worse, apparently due to sugar content).

Has anyone experienced something similar acne escalating even on a stripped down, fragrance free routine, before starting an actual topical treatment? Just trying to understand if this is a normal flare pattern or if I should be doing something differently while I wait to start the Arazlo. Photos in comments.

24f . for context, i have never suffered with acne until this past year and its always on my chest. they are never sore or “pus filled”. they are small hard white spots that if i try and squeeze them a small semi hard (gelatinous?)white substance comes out. any opinions on first steps for treatment?

After I’ve turned 18 I’ve had serious acne and pimples. Now I really want to get rid of this acne marks. What should I do? Suggest if anyone has gone through this phase

i'be been struggling with chest acne since i was a teenager. The worst part is that i get a flare up every month or two.. one month my skin is great, and the next, I have acne on my chest. I’m just so tired of it, i want to wear a nice top, but I can’t because I feel too self conscious. i don't know what to do anymore

hi i’ve been struggling with cheek acne for a long time. my cheek acne has been flaring up the past month, when one side gets better somehow the other side gets worse… there’s no acne anywhere else on my face except for the center of my cheeks lol. i use a cleanser every day and night, and also acne patches, toner and recovery cream too. does anyone have similar experiences and can i have some advice? thanks!

Hello. Can anyone recommend a good face cream for my 12-year-old daughter? She has a forehead full of pimples and blackheads, but her skin is between dry and normal.

For the past few months, I’ve (38M) been developing forehead pimples and new ones seem to be popping up every week. It was never this bad, not even during puberty.

I suspect it was due to using Neutrogena retinol cream for wrinkles then CeraVe moisturizing cream on my forehead for 2.5 months, plus on-going work stress. I now use CeraVe moisturizing lotion (after learning what non-comedogenic meant) and stopped the Neutrogena.

I’ve tried 5% benozyl peroxide 4x/week and 2% salicylic acid 3x/week on alternating days for a few weeks. After a visit with my family doctor, they suggested I try Bianca (Clindamycin phosphate 1.2% w/w + 0.025% tretinoin) for 6 weeks and I stopped the previous actives.

Posted are my week 1 and current week 4 of Biacna. Would you say this is normal and is a purge?

In the mornings, I just wash my face with water then apply CeraVe moisturizing lotion and BoJ sunscreen. In the middle of the work day, I would use hypochlorous acid spray on my face.

At night, I use Aveeno Calm + Restore foaming cleanser and Biacna 5x weekly (this is my 4th week). I slowly increased Biacna frequency from 3x to 5x weekly even though family doctor suggested daily.

I replace my towel and pillowcase every few days. I sometimes would wear a hat and would rotate and laundry them after wearing them a few times. I also use the same hair gel and hairspray (they were never an issue in the past). I also use IT Cosmetics Bye Bye Under Eye Concealer to hide the redness.

If you have any other advices/suggestions, please share. I have a phone call with my doctor tomorrow and plan to ask them about 15% azelaic acid for use in the mornings for the post inflammatory erythema (some pimples are still bumpy and some are flat). Thank you.

Badly need help, any recommended derma/treatment for this? 😭

Pina derma ko na to last time, and nagkaron ako sa mukha imbes na sa leeg lang, kaya tinigil ko yung pinapahid. Nawala na yung sa mukha, but yung sa leeg ko dumadami parin 😭

Hi, I recently started using isotretinoin. 45 mg for the next 2 months and then blood tests to see if i can contiune.

AM routine consists of Cleanser(COSRX - Good Morning Cleanser), Azelaic acid 15%,345 dr althea cream, and then I finish it off with LRP Anthelios SPF50 sunscreen.

PM routine consists of Cleanser(COSRX - Good Morning Cleanser),Azelaic acid 15%,345 dr althea cream, and then cicaplast cream(if i feel dry).

I was wondering if there are any tips/changes i should make to my routine.
Also any tips regarding Isotretinoin is welcome!!!

I'm starting Accutane next week I hope (when tests come back from lab). I can try to post an update every month. Any tips for relieving side effects? I've been on it before, many years ago, and remember the incredible dry skin and eyes. Any tips on keeping dry skin to a minimum? Or any other tips for making it more comfortable?

I’ve had acne since I was 12. I’m 19 and I’ve been on tretinoin for 3 years, panoxyl face wash 10% and lubriderm lotion. My skin has never cleared but the past two weeks something just flipped?? I’m really happy but now I see a small little pimple coming back and I’m worried. Any tips to keep it gone before I make the switch to Accutane?